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Treatment of infectious diseases Drugs used in the treatment of bacterial diseases can be grouped into categories based on their modes of action: 1. Penicillins/cephalosporins interfere with certain layers of cell wall 2. Chloramphenicol, tetracyclines, erythromycins-may be toxic when used in high doses or prolonged periods of time *** 3. Rifampin-used for treatment of TB *** Drugs that effectively inhibit viral infections are highly toxic to host cells because viruses use the host’s metabolic enzymes in reproduction 1. Antiviral drugs target virus-specific enzymes 2. Acyclovir-used in treatment of genital herpes*** 3. Amantadine-used to prevent or moderate influenza *** 4. AZT-inhibit replication of HIV genome Development of drugs used to treat fungal, protozoan, and helminthic diseases are also highly toxic to mammals 1. Azole derivatives inhibit sterol synthesis 2. Amphotericin B-disrupts cell membrane Antimicrobial resistance presents ongoing problems in the fight against infectious diseases 1. Penicillin resistance noted as early as 1943*** 2. Mycobacterium tuberculosis-some strains resistant to all drugs 3. Resistance to antibiotics-result of changes in genetic information